1

Preterm labor:
I am not sure i understand your question but although its very hard to delay true labor, I am sure your physicians are doing everything possible to delay delivery as long as there is no infection or compromise to you or the baby. Take care, be strong, and stay positive.
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When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to as a "post-term pregnancy."
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2

Cramping:
Please see your OB md as soon as possible, if its the week-end call the answering service and speak to him on the phone. There are many causes - one of which is possible pre-term labor.
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3

PREGNANCY:
Second trimester with painful back and vaginal pressure. Pls. Rule out UTI because uterus is sitting on the urinary bladder causing the pain of cystocoele ? Best is see OB for dx.
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4

Get evaluated :
Pain in pregnancy needs to be evaluated. Since you are pregnant with twins this is high risk pregnancy. Hopefully your midwife is a cnm (certified nurse midwife) who works closely with an obgyn and possibly a maternal fetal medicine specialist.
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7

Positional change:
Just like the Otis Redding song a suggestion for your partner, "Try a little tenderness". In addition positional changes with you in control of penetration depth by being the dominant partner will also be helpful. Remember, women are the "superior sex".
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8

please call your OB:
Now your OB needs to decide as u may be trying to go into premature labor should not be having sharp pains at 29 weeks and all questions regarding contractions or anything like that please call your OB , your OB is on call 24/7 or has someone covering.
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9

Radiating pain:
Welcome to the radiating down the leg pain caused by the pressure of the baby on the nerves in your pelvis and into the vagina. This is normal but don't forget to tell your OB MD about them.
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10

Adhesions:
She needs an exam under anestheia - and if she had genital mutilation - then this needs to addressed - I bring this up because where you are from - genital mutilation is common in that part of the world
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12

Don't worry:
Your uterus is now sufficiently large that it is exerting significant pressure on sensitive pelvic tissue that is not used to having such pressure applied. Moreover, as your baby moves in your womb, the pressure points may change. You can help the situation somewhat with a good maternity belt, which will help support the "load", and by avoiding prolonged standing.
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14

Need evaluation:
More complex than room here to explain. I will try.
The main issue is pain. There are complications from IUD's including penetration of the uterine wall. Other causes include infection. These need to be checked out.
see link below for more details.
http://www.nhs.uk/conditions/contraception-guide/pages/ius-intrauterine-system.aspx
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16

Air is prob. cause:
Most cases of bloating are caused by ingestion of air every time you swallow you ingest air. That, plus the breakdown of of the foods and fluids we take in produces gas, and frequently this makes itself evident with pain in the rectal and vaginal areas. Increasing your activity by exercise will usually dissipate the gas and relieve the bloating sensation
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17

Bircornuate uterus:
Treatment of a septate vs a bicornuate uterus differ and therefore an accurate diagnosis is necessary. A 6 week loss could be caused by other factors that need evaluated. If evaluation is negative - repair of the uterine condition is a consideration to talk to your doctor about.
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18

Ultrasound may help:
There are many things that could contribute to your complaints. One is a fibroid that is within the uterus, either applying pressure on the cervix or even trying to deliver through it. A pelvic uktrasound and eval by your gyn would go a long way toward finding the answer.
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20

See below:
Seeing a heartbeat on ultrasound is comforting and decreases the risk of miscarriage. It mainly depends on the reason you are having bleeding. Make sure to follow up as directed. Good luck.
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